CANTO’S ANNUAL C.O.D.E. 1.0
Caribbean Innovator & Entrepreneur
Team Application
July 27-29, 2015
Miami, Florida, United States
APPLICANT INFORMATION
Last Name
First
M.I.
Street Address
D.O.B
Apartment/Unit #
City
Country
Phone
E-mail Address
Citizenship Country
Organization
Expertise/Proficiency
Team Name
Will you be able to obtain a U.S. Visa?
YES
NO
WhatsApp #
Are you a citizen of a CANTO Country?
YES
NO
Facebook Info
Will you be available to travel to Miami, FL
between July 26-28, 2015?
YES
NO
Website Info
EDUCATION
High School
From
Address
To
Did you graduate?
College
From
NO
Degree
NO
Degree
NO
Degree
Address
To
Did you graduate?
Other
Certificates
From
YES
YES
Address
To
Did you graduate?
YES
OTHER TEAM MEMBERS
Each team member must complete an application but please list the other members in your group.
Member #1
Relationship
School/Organization
Phone
Expertise
Member #2
Relationship
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School/Organization
Phone
Expertise
Member #3
Relationship
School/Organization
Phone
Expertise
PREVIOUS EXPERIENCE
Organization
Phone
Address
Supervisor
Title
Responsibilities
From
To
Please include an
example of your work.
May we contact your previous supervisor for a reference?
YES
NO
Organization
Phone
Address
Supervisor
Title
Responsibilities
From
To
Please include an
example of your work.
May we contact your previous supervisor for a reference?
YES
NO
VOLUNTARY/COMMUNITY SERVICE
Organization/Description
Date
Organization/Description
Date
CHECKLIST
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Application
Copy of Photo ID
Profile Picture (Passport Size 2x2)
Biography
Sample Work (at least 2)
Proof of Visa to the U.S.
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DISCLAIMER AND SIGNATURE
CANTO’S Rules, Regulations and Disclaimers abide any and all rules relating to this competition.

Grant of Rights:
By entering, each Applicant grants to Sponsors and their designees the irrevocable, royalty-free right to publish, distribute
and use the Applicant’s name, likeness and biographical information (and in the event of a Team, the name, likeness and
biographical information each member of said Team) in connection with the execution and promotion of the Competition
and the promotion of Sponsors and its activities.
In addition, by entering, each Applicant grants to Sponsors and their designees the right to reproduce, exploit, adapt, use
and display worldwide, throughout the world, in all media and formats now known or hereafter invented, information about
the Submission and the Project and all non-proprietary components thereof, including without limitation posting information
about the Submission and/or the Project on the Site (or such other Sponsor designated on-line environment), in connection
with the execution and promotion of the Competition and the promotion of Sponsors and their activities, without further
notice or compensation.
Each team is responsible for determining the disposition of any intellectual property developed during the course of the
event. Neither CANTO, PIEDATA, DDS nor any of the event Sponsors or Partners shall be responsible for mediating disputes
that arise relating to intellectual property ownership. Applicants waive the rights to any submissions or creations developed
for and during the event.

Disputes:
These Terms and Conditions shall be governed by and interpreted under the laws of The CANTO. Applicant hereby agrees
that any and all disputes claims, causes of action or controversies arising out of or in connection with the Competition or
these Terms and Conditions shall be resolved individually, and without resort to class action, exclusively a court located in
Utrecht, CANTO. By entering, each Applicant irrevocably waives any right to seek and/or obtain rescission and/or equitable
and/or injunctive relief.

Representations & Warranties:
Applicant represents and warrants that he/she: (a) has the right to make a Submission as contemplated hereunder without
the need of any consent of any third party; (b) Will abide by these Terms and Conditions and all applicable laws and
regulations; (c) If Applicant is a Team Leader, that Applicant has the full right and authority to make the Submission and to
agree to accept and abide by these Terms and Conditions on behalf of the Team, and that each Team member will abide by
these Terms and Conditions; and (d) Applicant is under no obligation or disability, created by law or otherwise, which would
in any manner or to any extent prevent or restrict making a Submission or becoming a Winner.

Indemnity:
By submitting an entry, each Applicant (including each Team member, with respect to Applicants who are Teams) agrees to
indemnify, hold harmless and defend sponsors, affiliates, subsidiaries, successors and assigns, and each of their trustees,
officers, employees and agents (all of the foregoing, the “Sponsor Parties”), from and against the full amount of all claims,
liabilities, actions, suits, proceedings, assessments, judgments, decrees, losses, fees, damages, settlement funds, and
associated costs and expenses including attorney’s fees arising from or in connection with the Applicant’s participation, any
use by Sponsors Parties of the Applicant’s Submission and/or the exercise by Sponsor of any rights granted to it herein,
including without limitation claims based on rights of privacy, rights of publicity, false light, defamation, copyright, patent
and/or trademark infringement relating to the Applicant’s Submission. Notwithstanding anything herein to the contrary, in
the event of any claim by a third party affecting or relating to the Submission, Sponsors shall have, in addition to any other
rights available to it, at law or in equity, the right to immediately revoke any prize.

DISCLAIMER:
NOTWITHSTANDING ANYTHING TO THE CONTRARY, IN NO EVENT WILL ANY OF THE SPONSOR PARTIES BE LIABLE TO
APPLICANT OR ANY THIRD PARTY FOR ANY SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES, LOSS OF REVENUES,
LOST PROFITS, LOST CAPITAL OR OVERHEAD, WHETHER BASED ON BREACH OF CONTRACT, TORT (INCLUDING
NEGLIGENCE) OR OTHERWISE, WHETHER OR NOT SPONSOR PARTIES HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH
DAMAGES.

Release of Claims:
By submitting an entry, each Applicant (including each Team member, with respect to Applicants who are Teams) releases
each of the Sponsor Parties from and against the full amount of all claims, liabilities, actions, suits, proceedings,
assessments, judgments, decrees, losses, fees, damages, settlement funds, and associated costs and expenses including
attorney’s fees arising from or in connection with the Applicant’s participation in this competition, any use by Sponsors of the
Applicant’s Submission and/or the exercise by Sponsors of any rights granted to it herein, including without limitation claims
based on rights of privacy, rights of publicity, false light, defamation, copyright, patent and/or trademark infringement
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relating to the Applicant’s Submission and claims for injury, loss or damage of any kind resulting from the Applicant’s
participation in this competition or acceptance or use of any prize.

Competition Clause
All members must participate, During the 48 Hour period at least 1-2 member of each team is required to be
presently working on their solutions at all times. At no time can a full team take a break all at the same time
during the competition. Food, Drinks, Caffeine, and, Energizer will be provided during the competition.

Limitation on Exploitation of Materials:
Each Applicant acknowledges that each of the Sponsor Parties may have engaged and continue to engage in the
development, production, acquisition and dissemination of materials that may be similar or identical to the Applicant’s
Project or Submission. The Sponsor Parties may use information about the Applicant’s Project or Submission in whole or in
part, without any payment or other obligation whatsoever to the Applicant, if the Applicant’s Project or Submission (a) is not
unique, novel, original, and concrete so as to be entitled to protection under applicable laws, (b) has been made public by
anyone at the time of its submission to Sponsors or otherwise is in the public domain, (c) would be freely usable by a third
person if it had not been accepted as a Submission, or (d) is similar or identical to, or contains significant elements
encompassed in, an idea, concept or material that has been independently created by either Sponsor or any third party.
Acceptance by Sponsors of a Submission is not an admission by Sponsors of the novelty or originality of the Submission.

General Terms:
All CANTO laws and regulations apply. Host, Facilitator, and Sponsors reserve the right at their sole discretion to disqualify
any individual who violates these Terms and Conditions, tampers with the entry process and/or acts in any way that would,
in any way, discredit or harm the reputation of Sponsors, and/or to cancel, modify or suspend this competition should
entrant fraud or misconduct or other causes beyond the control of Sponsors corrupt the administration, integrity, security or
proper operation of the competition.
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to qualification, I understand that false or misleading information in my application or
interview may result in my disqualification.
Printed Name
______________________________________
Signature
Date ____________
______________________________________
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